-
psnet.ahrq.gov/node/49763/psn-pdf
June 01, 2016 - thought to lead to decreased productivity due to disruption in operations (1) and the loss
of tacit knowledge … Though the overnight drop in medical knowledge is surely important, it's clear that the
infusion of … surgical intern in the ICU made significant errors, ones that did not seem to stem from inadequate
knowledge … responsibility appropriate for their skill level.(14) Furthermore, these
assessments must address knowledge … The drop in experience affects multiple dimensions, including clinical knowledge and local systems
literacy
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - Multiple steps can be taken to prevent these knowledge gaps in the future. … Communication of Drug Information
Not only were there issues with knowledge about the drug, but the … Staff Competency and Education
Knowledge gaps in the safe use of opioids may have also contributed … According to an opioid knowledge assessment conducted by the Pennsylvania Hospital Engagement Network … Results of the opioid knowledge assessment from the PA Hospital Engagement Network adverse drug event
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psnet.ahrq.gov/node/33844/psn-pdf
October 01, 2017 - higher frequency than other occupational groups.(11)
Reasons for Presenteeism: Logistics, Culture, and Knowledge … health care worker presenteeism occurs are complex
and include a combination of logistic, cultural, and knowledge-based … and it is not always clear what is
"too sick" to work or truly risky for patients.(6) The lack of knowledge … Reducing it will require attention to all drivers of the problem: logistics, culture,
and knowledge.
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psnet.ahrq.gov/node/34131/psn-pdf
March 07, 2005 - Medical Institute of Technology
https://psnet.ahrq.gov/issue/safetyleadersorg
Safetyleaders.org is a knowledge
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psnet.ahrq.gov/node/39883/psn-pdf
August 22, 2011 - rounding-influence
This newsletter piece describes a strategy for health care leaders to gain frontline insight and knowledge
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psnet.ahrq.gov/node/38465/psn-pdf
March 17, 2011 - organizations that raises awareness of surgical and perioperative issues, furthers research,
provides expert knowledge
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psnet.ahrq.gov/node/40896/psn-pdf
November 02, 2011 - screen savers that provided education about patient safety did not seem to improve medical
students' knowledge
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psnet.ahrq.gov/issue/interventions-employed-improve-intrahospital-handover-systematic-review
January 20, 2015 - January 4, 2010
Patient handovers within the hospital: translating knowledge from motor … November 20, 2013
Patient handovers within the hospital: translating knowledge from motor
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psnet.ahrq.gov/issue/qualities-and-attributes-safe-practitioner-identification-safety-skills-healthcare
September 26, 2012 - September 26, 2012
Safety skills training for surgeons: a half-day intervention improves knowledge … April 14, 2011
More to teamwork than knowledge, skill and attitude.
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psnet.ahrq.gov/issue/intended-and-unintended-consequences-communication-systems-general-internal-medicine
October 31, 2011 - April 12, 2014
An exploratory study of knowledge brokering in hospital settings: facilitating … knowledge sharing and learning for patient safety?
-
psnet.ahrq.gov/node/38477/psn-pdf
October 03, 2017 - The reports aim to encourage
transparency in New Zealand medical practice and bolster knowledge to prevent
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psnet.ahrq.gov/node/39426/psn-pdf
April 07, 2010 - medical-errors-education-prospective-study-new-educational-tool
A brief educational intervention was effective at improving medical students' knowledge
-
psnet.ahrq.gov/node/40485/psn-pdf
June 01, 2011 - implementing-standardized-reporting-and-safety-checklists
An educational intervention increased nurses' knowledge
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psnet.ahrq.gov/node/39200/psn-pdf
March 28, 2010 - residents completed a quality improvement (QI) and patient safety curriculum, resulting in
both improved knowledge
-
psnet.ahrq.gov/node/35177/psn-pdf
June 23, 2009 - propose that critical incident reporting can help to involve clinicians in evaluating and
sharing knowledge
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psnet.ahrq.gov/node/39737/psn-pdf
November 30, 2016 - guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician
knowledge
-
psnet.ahrq.gov/node/35833/psn-pdf
July 23, 2010 - They advocate that nurses' knowledge of the medication
administration process can help improve quality
-
psnet.ahrq.gov/node/35481/psn-pdf
December 30, 2012 - illustrate common system errors in the use of intrapartum electronic
fetal monitoring: inadequate knowledge
-
psnet.ahrq.gov/node/41923/psn-pdf
December 12, 2012 - diagnostic process and details how clinical decision
support systems combined with physicians' logic and knowledge
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.95_slideshow.ppt
May 01, 2005 - the label of “missed diagnosis” to a clinical scenario
“Overdiagnosis” of Diagnostic Mistakes
Knowledge … pubmed&dopt=Abstract&list_uids=11799827
Sources of Overcalling Error
Evaluation of a case with knowledge … Abstract&list_uids=7366635
Improving Diagnosis of Errors
Case evaluation should occur without knowledge